Phuoc Nguyen Ma, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1485 Issued in AZ

Practice address

1710 S Greenfield Rd
Mesa, AZ 85206-3481

Phone

(480) 892-6954

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tony Ma Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment NPD
• Tom Sowash OD & Associates PC

  dba Visionworks

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  Medicare reassignment NPD
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Sun City West, AZ
  • NPI 1427374347
  NPD
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)
• Glacier Healthcare, LLC

  • Primary Podiatric Medicine Podiatrist
  • Edmond, OK
  • NPI 1912212838

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760531107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 W FRANKFURT DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261471",
            "telephone_number": "480-363-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S GREENFIELD RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063481",
            "telephone_number": "480-892-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "PHUOC",
        "middle_name": "NGUYEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "MA",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• M.G.T Cardiology
• M.G.T RN LLC (MGT MD at Home)
• M&M Powell Inc.
• M&M Premier Chiropractic LLC
• Lucy Ma, MD
• Ma&K Holdings LLC
• Nhu Mac, OTD, OTR/L
• Meagan Maccleary, LCSW
• Masen Maccrone, PA
• Howard Horace Macdonald Jr., R.PH

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.